Trip Database Blog

I have a feeling this is not the last post of the year, but I’ve started to wind down and start reflecting on what needs to be done in 2009.

Given my close relationship with the NLH I have often used them to compare TRIP against. Over the years we have exchanged positions regarding usage but since we fixed the speed on TRIP I’m delighted to see us pull away. In the graph below (click on the graph for a clearer view) you’ll see I’ve added NICE as well (given that they are merging with the NLH in April 2009 to create NHS Evidence).

However, while I’m pleased we’re doing well, I acknowledge it’s all relative and the graph below shows us – pitfully small – in comparison with the BMJ!

So, for years I’ve been aiming at improving on the NLH’s position. Now we’ve done this I’m hoping for two things:

1. NHS Evidence will bring some serious innovation into play to pressure us to innovate. In fact, the desire for innovation isn’t restricted to just NHS Evidence, I want to see serious innovation everywhere.
2. We close the gap on the BMJ.

One wish we had in producing TRIP Answers was to encourage users to interact with the site and to tell us how to improve our answers. Already we’ve had a major input, on the question What is the best way of interpreting a 24-hour ecg result?, which had actually been answered in relation to 24-hr blood pressure measurement. A major mistake and now corrected.

I follow a number of really interesting people on twitter (see my profile here). One post from AllergyNotes (who is also known as Ves Dimov of Clinical Cases and Images) related to the incidence and prevalence of sesame allergy. As this was a genuine Q I added it to TRIP Answers (click here to view).

I can see twitter being very useful in highlighting new content for TRIP Answers.

After a brief indexing problem the full content of TRIP Answers (http://www.tripanswers.org/) is now searchable via the main TRIP Database.

The clinical cases and images blog has published a quick review Twitter Wins Over RSS? which highlights some of the benefits of twitter.

Due to twitter I came across another post TripAnswers or Twitter?. It’s nice to see we’re being talked about and highlights the usefullness of twitter.

For interest my twitter address is http://twitter.com/JRBtrip

Be warned, twitter is an acquired taste, but once you get over the initial learning curve (not that steep) you may well be hooked. If you try, and get confused, just let me know and I’ll help you out.

A really interesting post at Search Engine Land (click here) about how Scott Adams, the creator of Dilbert, used Google to keep an eye on new information on a condition he appears to suffer from – Spasmodic Dysphonia.

A new piece of research gets published and the rather nice Google Alerts sends him and e-mail and Scott goes to his doctor.

At long last TRIP Answers is out there, give it a whirl here.

I am absolutely delighted to reveal that Excelencia Clinica has just been released.

Excelencia Clinica is a collaboration between the Spanish Ministry of Health, the Iberoamerican Cochrane Center and TRIP.

In a nutshell, Excelencia Clinica is a search engine based on the TRIP Database. However, it contains material in both Spanish and English and allows users to search in either language.

Historically, TRIP has received a large following from Spanish language countries and therefore I’m very pleased that this new site will give them a much enhanced search experience.

Not being from the USA I do not appreciate the importance of Thanksgiving, I understand that it’s an important festival and it appears to divert attention away from the internet. I say that as I noticed a change in the usage pattern of TRIP (over 20% of our users are from the USA). I then compared that to the year before and the same pattern.

Typically, the usage is a gentle hump with a peak around the start of the weak and a trough on Saturday. The pattern is always the same, the only difference being the numbers. This week it has been a pretty straight line – that is what caught my eye.

In the image below (click to enlarge) I’ve compared 2007 (when Thanksgiving was the 22nd November) to 2008 (when Thanksgiving was 27th November).